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Recent developments in the software business point to some of the reasons why companies offer their products or services in bundles. One is the...
The Bundled Payments for Care Improvement (BPCI) initiative, developed by the U.S. Center for Medicare & Medicaid Innovation, aims to reduce health...
- 2021
- Working Paper
Property Rights and Urban Form
By: Simeon Djankov, Edward L. Glaeser, Valeria Perotti and Andrei Shleifer
How do the different elements in the standard bundle of property rights, including those of possession and transfer, influence the shape of cities? This paper incorporates insecure property rights into a standard model of urban land prices and density, and makes...
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- May 2021
- Article
Value-Based Healthcare in Urology: A Collaborative Review
By: Chanan Reitblat, Paul A. Bain, Michael E. Porter, David N. Bernstein, Thomas W. Feeley, Markus Graefen, Santosh Iyer, Matthew J. Resnick, C.J. Stimson, Quoc-Dien Trinh and Boris Gershman
Context:
In response to growing concerns over rising costs and major variation in quality, improving value for patients has been proposed as a fundamentally new strategy for how healthcare should be delivered, measured, and... View Details
In response to growing concerns over rising costs and major variation in quality, improving value for patients has been proposed as a fundamentally new strategy for how healthcare should be delivered, measured, and... View Details
- February 2021
- Case
New England Baptist Hospital: Getting Paid for Value
By: Robert S. Kaplan, Mary Witkowski, Toby E. Emanuel and Syed S. Shehab
New England Baptist Hospital (NEBH), a national leader in adult orthopedic care, has the lowest rate of complications and 30-day readmissions in New England, but gets paid 30% less for its surgeries than nearby institutions. NEBH introduces, with several large...
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- Article
How Long Can a Company Thrive Doing Just One Thing?
By: Andy Wu and Scott Duke Kominers
The news that the chat app Slack was being sold to veteran customer relationship management company Salesforce for $27.7 billion raised a lot of eyebrows. Why sell after a year of explosive growth? The deal, however, epitomizes a question facing so-called best-of-breed...
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- April 2020
- Teaching Note
Executive Compensation at Talent Partners
By: Richard S. Ruback, Royce G. Yudkoff and Ahron Rosenfeld
Teaching Note for HBS Case No. 211-073. Talent Partners, a payroll service firm focused on actors in commercials, hired Paul Muratore to be its CEO in 2002. His compensation package included a fixed salary and a bundle of Stock Appreciation Rights (SAR) that would...
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- Article
Mandate Outcomes Reporting
By: Robert S. Kaplan and Michael E. Porter
Currently, few health care providers measure and report their patient outcomes, which leads to several problems. Attempts to introduce price transparency without outcomes transparency could trigger a “race to the bottom.” Should Medicare coverage be expanded to...
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- September 2019 (Revised October 2019)
- Case
Bill Connors and The Farm, a Comcast NBCUniversal Innovation Hub (Powered by Boomtown)
By: Linda A. Hill and Eric Mankin
In 2017, Bill Connors, the President of Comcast’s Central Division, launched a startup accelerator in Comcast’s new Atlanta Regional headquarters. Comcast was America's largest cable and internet service provider, having built a profitable business bundling television...
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- September 2019 (Revised October 2019)
- Case
Burunda Prince at The Farm, a Comcast NBCUniversal Innovation Hub (Powered by Boomtown)
By: Linda A. Hill, Eric Mankin and Emily Tedards
After a successful inaugural year, Burunda Prince, the Managing Director of Comcast’s startup business accelerator The Farm, was getting ready for an eventful 2019. Comcast was America's largest cable and internet service provider, having built a profitable business...
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Keywords:
Innovation;
Accelerator;
Entrepreneur;
Startup;
Outsourcing;
Hiring;
Talent;
Culture;
Ecosystem;
Digital;
Women;
African Americans;
Leadership;
Innovation and Invention;
Entrepreneurship;
Business Startups;
Management;
Diversity;
Selection and Staffing;
Organizational Culture;
Media;
Entertainment;
Transformation;
Atlanta
- July 2019
- Article
Evaluation of Economic and Clinical Outcomes Under Centers for Medicare & Medicaid Services Mandatory Bundled Payments for Joint Replacements
By: Derek A. Haas, Xiaoran Zhang, Robert S. Kaplan and Zirui Song
In 2016, the Centers for Medicare & Medicaid Services (CMS) launched its first mandatory bundled payment program, the Comprehensive Care for Joint Replacement (CJR) model, by randomizing metropolitan statistical areas (MSAs) into the payment model. The paper analyzed...
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- Summer 2019
- Article
The Price Effects of Cross-Market Mergers: Theory and Evidence from the Hospital Industry
By: Leemore S. Dafny, Katherine Ho and Robin S. Lee
We consider the effect of mergers between firms whose products are not viewed as direct substitutes for the same good or service but are bundled by a common intermediary. Focusing on hospital mergers across distinct geographic markets, we show that such combinations...
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- Article
Operational Efficiency and Effective Management in the Catheterization Laboratory
By: Grant W. Reed, Michael L. Tushman and Samir R. Kapadia
Operational efficiency is a core business principle in which organizations strive to deliver high-quality goods or services in a cost-effective manner. This concept has become increasingly relevant to cardiac catheterization laboratories, as insurers move away from...
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- 2018
- Working Paper
Bundling Incentives in (Many-to-Many) Matching with Contracts
By: Jonathan Ma and Scott Duke Kominers
In many-to-many matching with contracts, the way in which contracts are specified can affect the set of stable equilibrium outcomes. Consequently, agents may be incentivized to modify the set of contracts upfront. We consider one simple way in which agents may do so:...
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- January 2018 (Revised June 2018)
- Case
Medtronic: Navigating a Shifting Healthcare Landscape
By: Robert S. Kaplan, Michael E. Porter, Thomas W. Feeley and Alee Hernandez
Medtronic is adapting its strategy to changes in healthcare competition and payments. It has decided to develop new relationships with payers, hospitals, and physicians to become more accountable for patient outcomes and total costs. The case describes new forms of...
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- May 2017
- Article
Psychologically Informed Implementations of Sugary-Drink Portion Limits
By: Leslie John, Grant Donnelly and Christina Roberto
In 2012, the New York City Board of Health prohibited restaurants from selling sugary drinks in containers larger than 16 ounces. Although a state court ruled that the Board of Health did not have the authority to implement such a policy, it remains a legally viable...
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- January 2017 (Revised September 2020)
- Case
Classtivity: Payal's Pirouette
By: Jeffrey J. Bussgang and Olivia Hull
A few months after launching a new fitness technology product, the small staff of New York startup Classtivity gathers on a Saturday in April 2013 to take stock. With one successful pivot under its belt, Classtivity is finally generating revenue and enthusiasm among...
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Keywords:
Product Pivot;
Boutique Fitness;
Fitness Industry;
Market Sizing;
Consumer Technology;
Bundling;
Subscription Model;
Two-sided Marketplace;
ClassPass;
Entrepreneurship;
Venture Capital;
Business Startups;
Transition;
Customer Focus and Relationships;
Technological Innovation;
Organizational Change and Adaptation;
Customer Value and Value Chain;
Marketing Strategy;
Failure;
Business Strategy;
Technology Industry;
Health Industry;
New York (city, NY)
- January 2017
- Article
Contract Design and Stability in Many-to-Many Matching
By: John William Hatfield and Scott Duke Kominers
We develop a model of many-to-many matching with contracts that subsumes as special cases many-to-many matching markets and buyer/seller markets with heterogeneous and indivisible goods. In our setting, substitutable preferences are sufficient to guarantee the...
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- Article
Time-Driven Activity-Based Costing for Surgical Episodes
By: Peter Najjar, Matt Strickland and Robert S. Kaplan
Health care costs related to surgical care account for 40% of all hospital and physician spending. Payers attempting to contain costs are replacing fee-for-service with value-based payment schemes that can encompass entire episodes of care, including physician services...
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- Article
Adding Value by Talking More
By: Robert S. Kaplan, Derek A. Haas and Jonathan Warsh
The prevailing fee-for-service payment model has led health care administrators and physician practices to impose severe constraints on the time physicians spend talking, for which they are reimbursed poorly or not at all. New value-based reimbursement models, however,...
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- October 2016 (Revised March 2019)
- Case
Carrum Health: Scaling Bundled Payments
By: Robert S. Huckman and Sarah Mehta
Founded in 2014, Carrum Health helped self-insured employers located in three markets (San Diego, California; Seattle, Washington; and San Francisco, California) save money on their employees’ planned surgeries. It did so by contracting directly with top-quality...
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Keywords:
Health Financing;
Health Insurance;
Value-based Healthcare Reimbursements;
Bundled Payments;
Innovation;
Scale;
Health;
Health Care and Treatment;
Cost Management;
Growth and Development Strategy;
Decision Choices and Conditions;
Health Industry;
California;
San Francisco;
San Diego;
Seattle
- 2016
- Working Paper
The Skills Gap and the Near-Far Problem in Executive Education and Leadership Development
By: Mihnea Moldoveanu and Das Narayandas
Executive development programs have entered a period of rapid transformation, driven on one side by the proliferation of a new technological, cultural, and economic landscape commonly referred to as “digital disruption” and on the other by a widening gap between the...
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